diff --git a/broker/.env.template b/broker/.env.template
new file mode 100644
index 00000000..a2dbcd45
--- /dev/null
+++ b/broker/.env.template
@@ -0,0 +1,8 @@
+DEVELOPMENT=1
+FHIR_URL_BASE=http://fhir-dstu2-nprogram.azurewebsites.net/
+
+# TimeTap API config
+#
+TIMETAP_APIKEY=12345678
+TIMETAP_SECRETKEY=12345wertyfghjkyt
+TIMETAP_BASEURL=https://api.timetap.com/test
\ No newline at end of file
diff --git a/broker/endpoints/Patient.js b/broker/endpoints/Patient.js
index f16d2528..de14f21d 100644
--- a/broker/endpoints/Patient.js
+++ b/broker/endpoints/Patient.js
@@ -4,6 +4,7 @@ const RelatedPerson = require("../models/RelatedPerson");
 const {body, param, validationResult, sanitizeBody} = require('express-validator');
 const Appointment = require("../models/Appointment");
 const uuid = require('uuid');
+const tt_service = require('../services/timetapService');
 
 exports.read = [
 
@@ -249,6 +250,9 @@ async function createPatient(patient) {
   const createdPatient = await axios.post(`/Patient`, resource);
   patientID.resourceId = createdPatient.data.id;
 
+  // Create the new Patient/Client record in TimeTap
+  await tt_service.createTimetapClient(createdPatient.data);
+
   // Mock Appointment resource
   const appointment = {
       status: "booked",
diff --git a/broker/services/timetapService.js b/broker/services/timetapService.js
new file mode 100644
index 00000000..d61723d7
--- /dev/null
+++ b/broker/services/timetapService.js
@@ -0,0 +1,97 @@
+require("dotenv").config({ path: `${__dirname}/../.env` });
+const { body, param, validationResult, sanitizeBody } = require("express-validator");
+const crypto = require("crypto");
+
+const axios = require("axios");
+const timetapAxios = axios.create({
+  baseURL: process.env.TIMETAP_BASEURL
+})
+
+let tt_sessiontoken = "";
+if (tt_sessiontoken == "") {
+  try {
+    fetchTimetapSessionToken();
+  } catch (error) {
+    console.log(error);
+  }
+
+}
+
+async function fetchTimetapSessionToken() {
+  // Build our input values
+  let timestamp = Date.now();
+  let signature = crypto
+    .createHash("md5")
+    .update(process.env.TIMETAP_APIKEY + process.env.TIMETAP_SECRETKEY)
+    .digest("hex");
+
+  // Fetch the new Token
+  const res = await timetapAxios.get("/sessionToken", {
+    params: {
+      apiKey: process.env.TIMETAP_APIKEY,
+      timestamp: timestamp,
+      signature: signature,
+    },
+  });
+  tt_sessiontoken = res.data.sessionToken;
+}
+
+exports.createTimetapClient = async (patient) => {
+  // Create the Patient record in Timetap
+  let phone = "";
+  let email = "";
+  for (let i = 0; i < patient.telecom.length; i++) {
+    if (patient.telecom[i].system === "phone") {
+      phone = patient.telecom[i].value;
+    }
+    if (patient.telecom[i].system === "email") {
+      email = patient.telecom[i].value;
+    }
+  }
+
+  const data = {
+    firstName: patient.name[0].given[0],
+    lastName: patient.name[0].family,
+    fullName: `${patient.name[0].given[0]} ${patient.name[0].family}`,
+    emailAddress: email,
+    dateOfBirth: patient.birthDate,
+    sex: patient.gender,
+    address1: patient.address[0].line[0],
+    address2: patient.address[0].line[1],
+    city: patient.address[0].city,
+    state: patient.address[0].state,
+    zip: patient.address[0].postalCode,
+    country: patient.address[0].country,
+    timeZone: {},
+    allowWaitListText: true,
+    homePhone: phone,
+    cellPhone: phone,
+    clientIdsClientCanView: [],
+    fields: [],
+    locale: "en-US",
+    tags: [],
+  };
+  
+  await timetapAxios
+    .post("/clients", data, {
+      headers: {
+        Authorization: `Bearer ${tt_sessiontoken}`,
+      },
+    })
+    .then((response) => {
+      // Success!
+    })
+    .catch(async (err) => {
+      // Attempt to refresh our TT token
+      await refreshTimetapSessionToken(this, [patient]);
+    });
+};
+
+async function refreshTimetapSessionToken(callback, args) {
+  try {
+    await fetchTimetapSessionToken();
+    await callback(...args);
+  } catch {
+    // TimeTap token refresh failed
+  }
+}